Individual
DANIEL KELLY GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, LPTA
Contact information
Practice address
1305 S BRUNDIDGE ST, TROY, AL 36081-3136
(334) 372-5966
Mailing address
201 RANDOLPH ST, TROY, AL 36081-4529
(334) 372-5966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6310
AL
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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